Amy Tils, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2020014602 Issued in MO

Practice address

1205 NE Coronado Dr
Blue Springs, MO 64014-2928

Phone

(816) 228-4090

NPI assigned

Jun 2, 2020

Last updated

Jun 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alex Sharifian DDS Blue Springs Dentistry PC

  dba Blue Springs Dentistry

  • General Practice Dentistry
  • Blue Springs, MO
  • NPI 1083027411
  NPD (past)
• Bryan Watanabe DDS, White Oaks Dental Group, PC

  • Dentist
  • Blue Springs, MO
  • NPI 1457872962
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1336763788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 NW HILLTOP LN",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640297718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142928",
            "telephone_number": "816-228-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 S 7 Hwy",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640143204",
            "country_code": "US",
            "telephone_number": "816-622-1029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILS",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020014602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven B Thomas, OTR
• Bryleigh Thompson
• Tami Thornton, FNP
• Jayme H. Thorpe, CRNA
• Three Bluebirds Therapy and Wellness, LLC
• Angela M Timpson, PHARM. D
• Todd a Stastny Medical Associates (Family Medicine Specialists)
• Mashala Tolbert, DC
• Jonathan Wesley Tolman, RN
• Kyle Patrick Torres, PHARMACIST

• General Practice Dentistry in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.